Active NPI
Jeni Lee Madden, R.D.H.
- Dental Hygienist
- Brewer, ME
National Provider Identifier
1093940306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- RDH3567
- Practice address
- 237 Wilson St
Brewer, ME 04412-2033 - Phone
- (207) 991-9580
- NPI assigned
- May 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH3567 | ME | Primary |
Addresses
Primary practice location
237 Wilson St
Brewer, ME 04412-2033
Mailing address
PO Box 67
Milford, ME 04461-0067
Phone (207) 478-8678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RDH3567 | ME | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242432000000",
"number": "1093940306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "MILFORD",
"state": "ME",
"postal_code": "044610067",
"telephone_number": "207-478-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 WILSON ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044122033",
"telephone_number": "207-991-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "JENI",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-16",
"last_updated": "2009-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "RDH3567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.